Admission Rate per 100,000 Recipients
New York City
Medicaid Avoidable Hospitalizations
Adult Acute Conditions Composite
Smoothed Rates
BRONX
Countywide Rates
NEW YORK
Bronx
706
New York
549
Richmond
526
Queens
KINGS
Ratio of Observed to Expected Admissions
498
Kings
QUEENS
480
Lower
Average
Higher
No admissions
Upstate
RICHMOND
566
Statewide
555
NYC
547
Delivery System Reform Incentive Payment
Domain 2: System Transformation Metrics
A. Create Integrated Delivery System
Potentially Avoidable Services
Prevention Quality Indicators (PQI91)
Medicaid Recipients
2011-2012
Number of avoidable visits
Kings
Bronx
Queens
7,436
7,124
5,488
New York
Richmond
4,448
873
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
New York City
Medicaid Avoidable Hospitalizations
Adult Chronic Conditions Composite
Smoothed Rates
BRONX
Countywide Rates
NEW YORK
Bronx
1749
Richmond
1538
Kings
1283
New York
KINGS
Ratio of Observed to Expected Admissions
1223
Queens
QUEENS
1042
Lower
Average
Higher
No admissions
NYC
1336
Statewide
1294
Upstate
RICHMOND
Delivery System Reform Incentive Payment
Domain 2: System Transformation Metrics
A. Create Integrated Delivery System
Potentially Avoidable Services
1213
Prevention Quality Indicators (PQI92)
Medicaid Recipients
2011-2012
Number of avoidable visits
Kings
Bronx
Queens
21,347
20,663
11,627
New York
Richmond
10,788
2,372
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
New York City
Medicaid Avoidable Hospitalizations
Adult Overall Composite
Smoothed Rates
BRONX
Countywide Rates
NEW YORK
Bronx
2459
Richmond
2057
New York
1770
Kings
1766
Queens
KINGS
QUEENS
Ratio of Observed to Expected Admissions
1539
Lower
Average
Higher
No admissions
NYC
1885
Statewide
1848
Upstate
RICHMOND
Delivery System Reform Incentive Payment
Domain 2: System Transformation Metrics
A. Create Integrated Delivery System
Potentially Avoidable Services
1783
Prevention Quality Indicators (PQI90)
Medicaid Recipients
2011-2012
Number of avoidable visits
Kings
Bronx
Queens
28,779
27,787
17,115
New York
Richmond
15,235
3,245
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Visits per 100 Recipients
New York City
Medicaid Avoidable Hospitalizations
Emergency Department Visits for
Ambulatory Sensitive Conditions
Smoothed Rates
BRONX
Countywide Rates
NEW YORK
New York
42
Bronx
38
Richmond
37
Queens
KINGS
Ratio of Observed to Expected Admissions
31
Kings
QUEENS
29
Lower
Average
Higher
No admissions
Upstate
39
Statewide
36
NYC
RICHMOND
Delivery System Reform Incentive Payment
Domain 2: System Transformation Metrics
A. Create Integrated Delivery System
Potentially Avoidable Services
34
Potentially Preventable Visit (PPV)
Medicaid Recipients
2011-2012
Number of avoidable visits
Kings
Bronx
Queens
690,782
687,213
493,884
New York
Richmond
406,895
93,431
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
New York City
Medicaid Avoidable Hospitalizations
Pediatric Acute Conditions
Composite
Smoothed Rates
BRONX
Countywide Rates
NEW YORK
Richmond
110
Kings
90
Queens
84
Bronx
84
New York
KINGS
QUEENS
Ratio of Observed to Expected Admissions
82
Lower
Average
Higher
No admissions
NYC
87
Statewide
75
Upstate
RICHMOND
Delivery System Reform Incentive Payment
Domain 2: System Transformation Metrics
A. Create Integrated Delivery System
Potentially Avoidable Services
54
Pediatric Quality Indicators (PDI91)
Medicaid Recipients
2011-2012
Number of avoidable visits
Kings
Bronx
Queens
427
362
288
New York
Richmond
142
56
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
New York City
Medicaid Avoidable Hospitalizations
Pediatric Chronic Conditions
Composite
Smoothed Rates
BRONX
Countywide Rates
NEW YORK
Bronx
422
New York
298
Kings
275
Richmond
Queens
KINGS
QUEENS
Ratio of Observed to Expected Admissions
225
157
Lower
Average
Higher
No admissions
NYC
Statewide
Upstate
RICHMOND
294
248
Delivery System Reform Incentive Payment
Domain 2: System Transformation Metrics
A. Create Integrated Delivery System
Potentially Avoidable Services
156
Pediatric Quality Indicators (PDI92)
Medicaid Recipients
2011-2012
Number of avoidable visits
Bronx
Kings
New York
1,892
1,372
512
Queens
Richmond
501
114
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
New York City
Medicaid Avoidable Hospitalizations
Pediatric Overall Conditions
Composite
Smoothed Rates
BRONX
Countywide Rates
NEW YORK
Bronx
507
New York
380
Kings
365
Richmond
Queens
KINGS
QUEENS
Ratio of Observed to Expected Admissions
334
243
Lower
Average
Higher
No admissions
NYC
Statewide
Upstate
RICHMOND
381
323
Delivery System Reform Incentive Payment
Domain 2: System Transformation Metrics
A. Create Integrated Delivery System
Potentially Avoidable Services
210
Pediatric Quality Indicators (PDI90)
Medicaid Recipients
2011-2012
Number of avoidable visits
Bronx
Kings
Queens
2,254
1,799
789
New York
Richmond
654
170
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
New York City
Medicaid Avoidable Hospitalizations
Adult Angina Without Procedure
Smoothed Rates
BRONX
Countywide Rates
NEW YORK
Bronx
34
Queens
32
Kings
28
KINGS
QUEENS
Ratio of Observed to Expected Admissions
Richmond 24
New York 23
Lower
Average
Higher
No admissions
NYC
RICHMOND
29
Statewide 27
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
B. Cardiovascular Disease
Upstate 22
Prevention Quality Indicators (PQI13)
Medicaid Recipients
2011-2012
Number of avoidable visits
Kings
Bronx
Queens
464
410
389
New York
Richmond
207
37
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
New York City
Medicaid Avoidable Hospitalizations
Adult Hypertension
Smoothed Rates
BRONX
Countywide Rates
NEW YORK
Richmond
180
Bronx
150
New York
105
Kings
KINGS
Ratio of Observed to Expected Admissions
101
Queens
QUEENS
94
Lower
Average
Higher
No admissions
NYC
Statewide
Upstate
RICHMOND
114
104
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
B. Cardiovascular Disease
80
Prevention Quality Indicators (PQI07)
Medicaid Recipients
2011-2012
Number of avoidable visits
Bronx
Kings
Queens
1,891
1,779
1,117
New York
Richmond
1,014
258
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
New York City
Medicaid Avoidable Hospitalizations
All Adult Circulatory Conditions
Composite
Smoothed Rates
BRONX
Countywide Rates
NEW YORK
Bronx
557
Kings
447
Richmond
416
New York
398
Queens
397
KINGS
QUEENS
Ratio of Observed to Expected Admissions
Lower
Average
Higher
No admissions
NYC
450
Statewide
422
Upstate
RICHMOND
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
B. Cardiovascular Disease
366
Prevention Quality Indicators (PQI07 PQI08)
Medicaid Recipients
2011-2012
Number of avoidable visits
Kings
Bronx
Queens
7,675
6,376
4,564
New York
Richmond
3,694
621
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
New York City
Medicaid Avoidable Hospitalizations
Adult Diabetes Long-term
Complications
Smoothed Rates
BRONX
Countywide Rates
NEW YORK
Richmond
283
Bronx
267
Kings
211
New York
KINGS
Ratio of Observed to Expected Admissions
189
Queens
QUEENS
169
Lower
Average
Higher
No admissions
NYC
RICHMOND
213
Statewide
203
Upstate
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
C. Diabetes
182
Prevention Quality Indicators (PQI03)
Medicaid Recipients
2011-2012
Number of avoidable visits
Kings
Bronx
Queens
3,531
3,272
1,943
New York
Richmond
1,737
430
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
New York City
Medicaid Avoidable Hospitalizations
All Adult Diabetes Composite
Smoothed Rates
BRONX
Countywide Rates
NEW YORK
Bronx
472
Richmond
430
Kings
371
New York
KINGS
Ratio of Observed to Expected Admissions
341
Queens
QUEENS
296
Lower
Average
Higher
No admissions
NYC
376
Statewide
372
Upstate
RICHMOND
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
C. Diabetes
364
Prevention Quality Indicators (PQI01 PQI03 PQI16)
Medicaid Recipients
2011-2012
Number of avoidable visits
Kings
Bronx
Queens
6,204
5,749
3,250
New York
Richmond
2,945
663
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
New York City
Medicaid Avoidable Hospitalizations
All Adult Respiratory Conditions
Composite
Smoothed Rates
BRONX
Countywide Rates
NEW YORK
Bronx
720
Richmond
688
New York
484
Kings
Queens
KINGS
QUEENS
Ratio of Observed to Expected Admissions
464
346
Lower
Average
Higher
No admissions
NYC
510
Statewide
500
Upstate
RICHMOND
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
D. Asthma
481
Prevention Quality Indicators (PQI05 PQI15)
Medicaid Recipients
2011-2012
Number of avoidable visits
Bronx
Kings
New York
8,540
7,469
4,149
Queens
Richmond
3,813
1,088
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
New York City
Medicaid Avoidable Hospitalizations
Asthma in Younger Adults
Smoothed Rates
BRONX
Countywide Rates
NEW YORK
Bronx
218
Richmond
192
New York
161
Kings
Queens
KINGS
QUEENS
Ratio of Observed to Expected Admissions
122
78
Lower
Average
Higher
No admissions
NYC
Statewide
Upstate
RICHMOND
148
135
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
D. Asthma
110
Prevention Quality Indicators (PQI15)
Medicaid Recipients
2011-2012
Number of avoidable visits
Bronx
Kings
New York
1,446
924
519
Queens
Richmond
388
141
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
New York City
Medicaid Avoidable Hospitalizations
Chronic Obstructive Pulmonary
Disease and Asthma in Older Adults
Smoothed Rates
BRONX
Countywide Rates
NEW YORK
Bronx
1147
Richmond
1115
New York
767
Kings
758
Queens
KINGS
QUEENS
Ratio of Observed to Expected Admissions
577
Lower
Average
Higher
No admissions
NYC
822
Statewide
814
Upstate
800
RICHMOND
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
D. Asthma
Prevention Quality Indicators (PQI05)
Medicaid Recipients
2011-2012
Number of avoidable visits
Bronx
Kings
New York
7,094
6,545
3,630
Queens
Richmond
3,425
947
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
New York City
Medicaid Avoidable Hospitalizations
Pediatric Asthma
Smoothed Rates
BRONX
Countywide Rates
NEW YORK
Bronx
575
New York
405
Kings
349
Richmond
Queens
KINGS
QUEENS
Ratio of Observed to Expected Admissions
242
215
Lower
Average
Higher
No admissions
NYC
Statewide
Upstate
RICHMOND
388
319
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
D. Asthma
186
Pediatric Quality Indicators (PDI14)
Medicaid Recipients
2011-2012
Number of avoidable visits
Bronx
Kings
Queens
3,650
2,517
1,044
New York
Richmond
965
177
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
New York City
Medicaid Avoidable Hospitalizations
Adult Bacterial Pneumonia
Smoothed Rates
BRONX
Countywide Rates
NEW YORK
Bronx
327
New York
243
Queens
230
Kings
210
Richmond
208
KINGS
QUEENS
Ratio of Observed to Expected Admissions
Lower
Average
Higher
No admissions
Upstate
RICHMOND
276
Statewide
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
258
NYC
245
Prevention Quality Indicators (PQI11)
Medicaid Recipients
2011-2012
Number of avoidable visits
Kings
Bronx
Queens
3,253
3,136
2,524
New York
Richmond
1,946
352
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
New York City
Medicaid Avoidable Hospitalizations
Adult Dehydration
Smoothed Rates
BRONX
Countywide Rates
NEW YORK
Bronx
129
New York
118
Richmond
115
Kings
KINGS
Ratio of Observed to Expected Admissions
92
Queens
QUEENS
80
Lower
Average
Higher
No admissions
Upstate
110
Statewide
RICHMOND
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
106
NYC
103
Prevention Quality Indicators (PQI10)
Medicaid Recipients
2011-2012
Number of avoidable visits
Kings
Bronx
New York
1,462
1,332
972
Queens
Richmond
872
188
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
New York City
Medicaid Avoidable Hospitalizations
Adult Diabetes Short-term
Complications
Smoothed Rates
BRONX
Countywide Rates
NEW YORK
Bronx
132
New York
108
Kings
100
Queens
KINGS
QUEENS
Ratio of Observed to Expected Admissions
82
Richmond 72
Lower
Average
Higher
No admissions
Upstate
128
Statewide
RICHMOND
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
113
NYC
105
Prevention Quality Indicators (PQI01)
Medicaid Recipients
2011-2012
Number of avoidable visits
Kings
Bronx
Queens
1,653
1,555
811
New York
Richmond
789
117
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
New York City
Medicaid Avoidable Hospitalizations
Adult Heart Failure
Smoothed Rates
BRONX
Countywide Rates
NEW YORK
Bronx
371
Kings
318
Queens
271
New York
269
Richmond
KINGS
QUEENS
Ratio of Observed to Expected Admissions
216
Lower
Average
Higher
No admissions
NYC
307
Statewide
RICHMOND
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
292
Upstate
264
Prevention Quality Indicators (PQI08)
Medicaid Recipients
2011-2012
Number of avoidable visits
Kings
Bronx
Queens
5,432
4,075
3,058
New York
Richmond
2,473
326
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
New York City
Medicaid Avoidable Hospitalizations
Adult Uncontrolled Diabetes
Smoothed Rates
BRONX
Countywide Rates
NEW YORK
Richmond
69
Bronx
59
Kings
51
New York
KINGS
Ratio of Observed to Expected Admissions
38
Queens
QUEENS
36
Lower
Average
Higher
No admissions
NYC
RICHMOND
48
Statewide
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
46
Upstate
42
Prevention Quality Indicators (PQI14)
Medicaid Recipients
2011-2012
Number of avoidable visits
Kings
Bronx
Queens
869
765
413
New York
Richmond
357
101
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
New York City
Medicaid Avoidable Hospitalizations
Adult Urinary Tract Infection
Smoothed Rates
BRONX
Countywide Rates
NEW YORK
Bronx
250
Richmond
205
New York
188
Queens
187
Kings
KINGS
QUEENS
Ratio of Observed to Expected Admissions
178
Lower
Average
Higher
No admissions
NYC
RICHMOND
199
Statewide
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
192
Upstate
179
Prevention Quality Indicators (PQI12)
Medicaid Recipients
2011-2012
Number of avoidable visits
Kings
Bronx
Queens
2,721
2,656
2,092
New York
Richmond
1,530
333
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
New York City
Medicaid Avoidable Hospitalizations
Lower Extremity Amputation among
Adults with Diabetes
Smoothed Rates
BRONX
Countywide Rates
NEW YORK
Bronx
26
Richmond
19
Kings
17
New York
KINGS
Ratio of Observed to Expected Admissions
15
Queens
QUEENS
14
Lower
Average
Higher
No admissions
Upstate
18
Statewide
18
NYC
18
RICHMOND
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
Prevention Quality Indicators (PQI16)
Medicaid Recipients
2011-2012
Number of avoidable visits
Bronx
Kings
Queens
284
282
156
New York
Richmond
133
29
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
New York City
Medicaid Avoidable Hospitalizations
Pediatric Diabetes Short-term
Complications
Smoothed Rates
BRONX
Countywide Rates
NEW YORK
Richmond
44
Bronx
41
New York
40
Kings
KINGS
QUEENS
Ratio of Observed to Expected Admissions
35
Queens 18
Lower
Average
Higher
No admissions
NYC
RICHMOND
34
Statewide
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
33
Upstate
31
Pediatric Quality Indicators (PDI15)
Medicaid Recipients
2011-2012
Number of avoidable visits
Kings
Bronx
New York
168
158
63
Queens
Richmond
53
22
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
New York City
Medicaid Avoidable Hospitalizations
Pediatric Gastroenteritis
Smoothed Rates
BRONX
Countywide Rates
NEW YORK
Richmond
150
Bronx
142
Kings
136
Queens
135
KINGS
QUEENS
Ratio of Observed to Expected Admissions
New York 112
Lower
Average
Higher
No admissions
NYC
135
Statewide
RICHMOND
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
120
Upstate 94
Pediatric Quality Indicators (PDI16)
Medicaid Recipients
2011-2012
Number of avoidable visits
Kings
Bronx
Queens
1,073
972
804
New York
Richmond
301
126
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
New York City
Medicaid Avoidable Hospitalizations
Pediatric Urinary Tract Infection
Smoothed Rates
BRONX
Countywide Rates
NEW YORK
Queens
66
Kings
58
Richmond
55
Bronx
KINGS
Ratio of Observed to Expected Admissions
46
New York
QUEENS
43
Lower
Average
Higher
No admissions
NYC
54
Statewide
RICHMOND
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
52
Upstate
49
Pediatric Quality Indicators (PDI18)
Medicaid Recipients
2011-2012
Number of avoidable visits
Kings
Queens
Bronx
435
389
320
New York
Richmond
116
47
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH